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Journal of Combat Medicine
2020; 3(2): 18-24
10.30491/JCM.2020.136769

Narrative Review

History of Military and Civilian Trauma Registries in the World

Ali Khaji 1 *

1 Medical Ethics Ph.D., Sina Trauma and Surgery Research Center, Sina General Hospital, Tehran University of Medical
Sciences, Tehran, Iran

Received: 25 July 2020 Accepted: 23 October 2020
Abstract
Background and Aim: Trauma registry is one of the measures that are necessary to prevent and reduce trauma
and its related casualties.
Methods: This is a descriptive-analytical study with a comprehensive search of academic scientific databases
for related keywords (trauma, registry, war, civilian).
Results: Establishing a trauma registries has played an effective and undeniable role in reducing trauma as
well as its related causalities. The basic principles of the registry are similar for civilian and military trauma, but
in military section, due to changes in military strategies, as well as the type of ammunition and weapons used in
military conflicts, it is necessary to make some changes in recording the information of injured people. Numerous
applications and reasons for using trauma registers have been mentioned, such as 1- Improving the quality of
medical services for the injured 2- Evaluating medical interventions 3- Trauma prevention 4- Improving pre-
hospital care, 5- Improving post-discharge care 6- Assisting health managers in resource allocation.
Conclusion: For the efficiency and success of the trauma registry, it is very important to pay attention to
several issues that without considering them, despite spending a lot of time, budget and human source, we will
not achieve the desired result, as we have seen in Iran in the last two decades. These principles are 1- Definition
and precise determination of its launch objectives, 2- Appropriate design and specification of the type of
information necessary to collect according to the defined objectives, 3- Attention and use of quality control unit
to ensure the accuracy of quantity and quality of data 4- Observance of ethical principles such as confidentiality
and privacy of individuals.

Keywords: Registry, Trauma, Civil, War.

* Corresponding Author: Ali Khaji
Address: Sina Trauma and Surgery Research Center, Sina General Hospital, Tehran University of Medical Sciences, Tehran,
Iran.
E-mail: [email protected]

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